Individual
ABBIE MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 OLD WATERBURY RD, 1 RESERVOIR OFFICE PARK, SUITE 104, SOUTHBURY, CT 06488-3926
(203) 262-9910
(203) 262-9911
Mailing address
164 CANDLEWOOD LAKE RD, BROOKFIELD, CT 06804-2118
(203) 740-1879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001472
CT
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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